To evaluate the outcomes of the training programs and awareness campaigns at HNH, focusing on how these interventions have enhanced the quality and continuum of care in early rehabilitation, contributing to faster recovery and improved readiness for prosthetic fitting.
Three training sessions were conducted by the ICRC between 2023 and 2024. The first session trained 22 physiotherapists and 6 orthopedic surgeons in 2023, followed by a second session in 2024 for 15 orthopedic and vascular surgeons, and a third session in 2024 for 10 physiotherapists. The trainings aimed to engage surgeons in post-surgical rehabilitation, promote a multidisciplinary team approach, and integrate pre-prosthetic physiotherapy into patient care.
Secondary data were collected from HNH’s patient registry between 2020 and August 2024. This included information on referrals of people with lower limb amputations (PwLLA) to the physiotherapy department, and their progression toward prosthetic readiness. Before 2023, HNH did not refer any amputees to physiotherapy. However, after the program's implementation, significant improvements were noted.
Additionally, HNH began receiving outpatient amputee referrals from private hospitals for physiotherapy services.
By the end of 2023, 41% of PwLLA from HNH were referred for physiotherapy, compared to 0% in previous years, with the referral rate increasing to 90% by mid-2024. Additionally, 33% of patients were deemed ready for prosthetic fitting within less than six months of rehabilitation, a significant milestone in reducing recovery time and facilitating a quicker return to functional mobility and social participation.
Early rehabilitation at HNH, in collaboration with the ICRC, significantly improved outcomes for PwLLA. The program increased referrals to physiotherapy, reduced the time for prosthetic readiness, and enhanced amputees’ independence and quality of life. These results highlight the importance of early intervention and a multidisciplinary approach in post-amputation care, particularly in a challenging humanitarian context.
Expanding these training programs across Syria with local experts is essential for addressing the growing demand for post-amputation care and improving long-term amputees’ outcomes.
Structured early rehabilitation has shown the significant role of physiotherapy in improving post-surgical outcomes. Increased referrals and faster prosthetic readiness highlight the importance of integrating physiotherapy into multidisciplinary teams. Expanding this program nationally can reduce recovery times, enhance independence, and improve amputees' quality of life across Syria. This model could serve as a framework in low-resource or conflict-affected regions, where timely rehabilitation access is critical.
Amputation
Prosthetic readiness
